2026 NPPES data Acute Care Nurse Practitioner NPI 1225604093 AGACNP
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Kelly Sisson, AGACNP

Acute Care Nurse Practitioner in Lawrenceville, Georgia.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 25,345 in Acute Care Nurse Practitioner, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
441
Medicare Part D claims · 88 beneficiaries · Acute Care Nurse Practitioner avg: 623
Generic prescribing
75%
generic claims · 25% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
68.6/100
▼ 15 pts below national avg 83.5 · Mid-tier
Industry payments
$421.28
4 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Kelly Sisson, AGACNP reported a CMS MIPS final score of 68.6/100 - below the 83.5 national average - and filed 441 Medicare Part D claims in 2024.

68.6/100
MIPS score · -15 vs avg
441
Part D claims, 2024
75%
generic prescribing
$421.28
industry payments (Sunshine Act)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Federal trust snapshot

What official records show about Kelly Sisson, AGACNP

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1225604093), first enumerated 06/02/2021.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 441 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 68.6/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Hospital affiliations

    1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Reported

    Industry payment transparency

    $421.28 in reported industry payments (4 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1225604093 · Acute Care Nurse Practitioner

NPI-10 · ENUM-RECENT · TAX-MID · MIPS-LOW · RX-LIGHT · BOOK-LIGHT · PHOTO-FINISH

  • NPI-10 1225604093
  • ENUM-RECENT 2021
  • TAX-MID 25K Acute Care
  • MIPS-LOW 68.6/100
  • RX-LIGHT 441
  • BOOK-LIGHT 866 in Georgia
  • PHOTO-FINISH Stacey Rybinski, DNP · ±0.1

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Kelly Sisson, AGACNP's MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

69 ≥ 8th percentile 8% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). This entry sits in this band. 70–80: 94,570 measured providers (21%). Above this entry. 80–90: 129,887 measured providers (29%). Above this entry. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Kelly Sisson, AGACNP sits

This provider among acute care nurse practitioner peers

Across the 3,830 acute care nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Kelly Sisson, AGACNP writes more Part D claims than 72% of them and scores higher on MIPS quality than 3% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100023.146.269.392.4Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 30Kelly Sisson, AGACNP, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 3
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one acute care nurse practitioner peer from a representative sample of 60; the gold marker is Kelly Sisson, AGACNP. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Kelly Sisson, AGACNP?

Below national average

NPI registry status

Active

Issued 06/02/2021

NPI 1225604093

Primary specialty

Acute Care Nurse Practitioner

Mid-sized

25,345 US NPIs in this specialty

Medicare Part D claims

441 29% vs specialty avg

2024 prescription claims

Specialty avg: 623

MIPS final score

68.6/100 14.9 pts vs avg

Mid-tier band

vs 83.5 national avg

Specialty distribution in Georgia

How Acute Care Nurse Practitioner compares to other specialties among Georgia providers

Georgia providers
Behavior Technician7.5%Student in an Organized Heal…5%Pharmacist5%Family Nurse Practitioner4.8%Physical Therapist3.9%Professional Counselor3.6%Acute Care Nurse Practitioner0.5%
Largest specialties in Georgia (% of in-state providers)

Medicare quality performance, MIPS

Kelly Sisson, AGACNP's 2023 MIPS final score plotted against the Acute Care Nurse Practitioner national average

Below national average
MIPS Final Score
68.6/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%68.6%
MIPS final score (Acute Care Nurse Practitioner) - 68.6/100 vs national avg 83.5
How MIPS and board certification work

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Practice Address

575 PROFESSIONAL DR STE 400
Lawrenceville, GA 30046

Provider Details

NPI 1225604093
Specialty Acute Care Nurse Practitioner
Credentials AGACNP
Gender Female
NPI Issued 06/02/2021

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

68.5568
Final Score
Measured-score avg: 83.5
63.1547
Quality
52.0348
Cost
76
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Kelly Sisson, AGACNP bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

Northside Cardiovascular Professional Services, LLC
Jonesboro, GA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) - CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Kelly Sisson, AGACNP. Source: openpaymentsdata.cms.gov.

Total received

$421

Largest payer

Abbott Laboratories

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Above average

Kelly Sisson, AGACNP - brand share 25.0%
Acute Care Nurse Practitioner average

25% brand-name claims vs 75% generic, on 441 2024 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2024.

441
Total Claims
$71K
Total Drug Cost
88
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
595
Total Day Supply
17,530
Brand vs Generic
25% brand / 75% generic
Brand Drug Cost
$66K
Generic Drug Cost
$6K

Patient Demographics

Average Patient Age
73.9 years
Avg HCC Risk Score
1.68
Gender Split
47% female / 53% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Kelly Sisson, AGACNP prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Eliquis
Apixaban
51
Atorvastatin Calcium
38
Prasugrel Hcl
38
Brilinta
Ticagrelor
36
Metoprolol Succinate
27
Carvedilol
25
Losartan Potassium
20
Amiodarone Hcl
19
Metoprolol Tartrate
19
Spironolactone
17

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Acute Care Nurse Practitioner Overview

How Kelly Sisson, AGACNP fits within the Acute Care Nurse Practitioner landscape nationally.

25,345
Acute Care Nurse Practitioner Providers in US
53
States with Acute Care Nurse Practitioner
623
Avg Claims per Provider

Kelly Sisson, AGACNP's 441 claims are below the specialty average of 623.

Nationwide Acute Care Nurse Practitioner peers with similar MIPS or enrollment year

Two federal-record peer sets for Sisson, both outside Georgia so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (68.6 here).

Same NPPES enumeration year (2021)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Nearby Acute Care Nurse Practitioner Providers in Georgia

Other clinicians with the same primary specialty enrolled in Georgia, drawn from the same CMS NPPES roster as Sisson.

One of 866 Acute Care Nurse Practitioner providers enrolled in Georgia, 5 are shown here.

Compare Acute Care Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is Kelly Sisson, AGACNP's specialty?
Kelly Sisson, AGACNP specializes in Acute Care Nurse Practitioner and practices in Lawrenceville, Georgia. Credentials: AGACNP.
How much does Kelly Sisson, AGACNP prescribe under Medicare Part D?
In 2024, Kelly Sisson, AGACNP wrote 441 Medicare Part D claims totaling $71K in drug costs for 88 beneficiaries.
What is Kelly Sisson, AGACNP's Medicare quality score?
Kelly Sisson, AGACNP has a CMS MIPS Final Score of 68.6/100 (Quality: 63.2, Cost: 52). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Kelly Sisson, AGACNP located?
Kelly Sisson, AGACNP is located at 575 PROFESSIONAL DR STE 400, Lawrenceville, GA, 30046. Phone: (404) 962-6000.
What is Kelly Sisson, AGACNP's NPI number?
Kelly Sisson, AGACNP's National Provider Identifier (NPI) is 1225604093, issued on 06/02/2021.
Does Kelly Sisson, AGACNP prescribe more brand-name or generic drugs?
Kelly Sisson, AGACNP's prescribing is 25% brand-name and 75% generic drugs by claim count, with $66K in brand drug costs.
How many Acute Care Nurse Practitioner providers are there in the US?
There are 25,345 Acute Care Nurse Practitioner providers across 53 states in the US. The average Acute Care Nurse Practitioner provider writes 623 Medicare Part D claims per year.
What drugs does Kelly Sisson, AGACNP prescribe most often?
Based on 2024 Medicare Part D data, Kelly Sisson, AGACNP's most frequently prescribed drugs include Eliquis, Atorvastatin Calcium, Prasugrel Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Kelly Sisson, AGACNP accept Medicare?
Kelly Sisson, AGACNP appears in CMS Medicare data with 441 Part D claims and 88 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Kelly Sisson, AGACNP's credentials?
Kelly Sisson, AGACNP's NPI is 1225604093 with credentials AGACNP. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

View source datasets and methodology notes
Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.